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Shiraoka City: child medical expense subsidy

Saitama Prefecture

In Shiraoka City, Saitama Prefecture, the child medical expense subsidy covers both outpatient and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age). Income limit: none. Co-payment: none. (As of April 1, 2025, Children and Families Agency survey.) There is no out-of-pocket charge for insured care, so it is effectively free.

In Saitama Prefecture, 63 of 63 municipalities cover outpatient care through age 18, and Shiraoka City is one of them.

Shiraoka City is one of 63 municipalities in Saitama Prefecture that meet all three conditions: coverage through age 18 for both outpatient and inpatient care, no income limit, and no co-payment.

Municipalities call this program by different names (小児医療費助成, こども医療費助成, 乳幼児医療費助成, 子育て支援医療). This site uses the national survey's term, "child medical expense subsidy".

Covered until (Outpatient)
Age 18(April 1, 2025)
Covered until (Inpatient)
Age 18(April 1, 2025)
Income limit
No(April 1, 2025)
Co-payment
No(April 1, 2025)
Coverage through age 18
Yes(April 1, 2025)
Population
52,404(Resident register, 2024)
Share under 15
12.4%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Shiraoka City.

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Child medical expense subsidy

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilAge 18
through the end of the fiscal year in which the child turns 18 (end of high-school age)
Age 18
through the end of the fiscal year in which the child turns 18 (end of high-school age)
Income limitNoNo
Co-paymentNoNo

No change since April 1, 2024

Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) (As of April 1, 2025). Last checked September 24, 2026

The national survey records conditions as of April 1 and is published in December. Some municipalities have expanded coverage since then. Confirm the current conditions on the municipality's official website.

Frequently asked questions

Until what age does Shiraoka City subsidize child medical expenses?

Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (as of April 1, 2025).

There is no out-of-pocket charge for insured care, so it is effectively free.

Are high school students covered in Shiraoka City?

Yes. Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (the end of the third year of high school).

Does Shiraoka City apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Shiraoka City?

No. Both are covered through the end of the fiscal year in which the child turns 18 (end of high-school age); income limit: no; co-payment: no.

Has Shiraoka City changed its conditions since last year?

No. The national surveys as of April 1, 2024 and April 1, 2025 record the same conditions.

How does Shiraoka City compare with other municipalities in Saitama Prefecture?

In Saitama Prefecture, 63 of 63 municipalities cover outpatient care through age 18, and Shiraoka City is one of them.

Shiraoka City is one of 63 municipalities in Saitama Prefecture that meet all three conditions: coverage through age 18 for both outpatient and inpatient care, no income limit, and no co-payment.

If I move out of Shiraoka City, do the same conditions apply?

No. The subsidy is run by the municipality you live in, so the new municipality's conditions apply. Check its page on this site, and confirm the procedure on that municipality's official website.

Nursery and after-school club waiting lists in Shiraoka City

Shiraoka City had 3 children on the nursery waiting list as of April 1, 2026 (993 applicants, 951 enrolled; 15 waiting a year earlier). After-school clubs had 31 children waiting as of May 1, 2026 (preliminary; 707 registered).

Nursery and after-school club waiting lists in Shiraoka City
ItemValueAs of
Nursery waiting list3Apr 1, 2026
Waiting list a year earlier (April 1, 2025)15Apr 1, 2025
Nursery applicants993Apr 1, 2026
Children enrolled in nurseries951Apr 1, 2026
After-school club waiting list31May 1, 2026 (prelim.)
After-school club registrations707May 1, 2026 (prelim.)

"Waiting" follows the national definition: applicants not enrolled, excluding those on parental leave, those who want only a specific facility, and those who have paused their job search. Zero does not guarantee a place at a preferred facility. After-school club figures are preliminary and may be revised.

Source: Children and Families Agency, Summary of Nursery Care Status (April 1, 2026) / Children and Families Agency, Status of After-School Clubs (May 1, 2026, preliminary)

Parks, libraries, community centers and nursery schools in Shiraoka City

Shiraoka City has 31 urban parks (37.8 ha), or 7.3 m² per resident (Rank 24 of 63 in the prefecture). It has 1 libraries, 1 community centers, 8 nursery schools and 6 elementary schools.

Urban parks: MLIT inventory as of March 31, 2025. Libraries and community centers: e-Stat, 2021. Nursery and elementary schools: e-Stat.

Places for children: Shiraoka City
ItemValueRank in prefectureAs of
Urban parks31Rank 39 of 63 in the prefectureMar 31, 2025
Urban park area37.8 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)7.3 m²Rank 24 of 63 in the prefectureMar 31, 2025
Libraries1Rank 47 of 63 in the prefecture2021
Community centers1—2021
Nursery schools8Rank 52 of 63 in the prefecture2023
Kindergartens4—2024
Elementary schools6—2024

Source: MLIT, Inventory of Urban Parks (end of FY2024, as of March 31, 2025) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)

Population, share of children, net migration and doctors in Shiraoka City

PopulationResident register, 2024
52,404Rank 39 of 63 in the prefecture2024
Share under 15
12.4%Rank 13 of 63 in the prefecture2020 census
Share 65 and over
28.0%2020 census
Share of foreign residents
1.0%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
+53Rank 37 of 63 in the prefecture2024
Births per 1,000 residents
6.5Rank 8 of 63 in the prefecture2023
Nursery schools
82023
Nursery schools per 1,000 children under 15
1.23Rank 52 of 63 in the prefecture2023
Kindergartens
42024
Elementary schools
62024
Doctors per 10,000 residents
14.7Rank 29 of 63 in the prefecture2022
Clinics per 10,000 residents
5.52023
General hospitals
32023
Owner-occupied homes
78.4%2023
Floor area per dwelling
103.7 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.81Rank 27 of 63 in the prefecture2022
Restaurants
762021

Source: e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)

"—" means e-Stat has no value for this item (the Housing and Land Survey does not cover towns and villages).

Compare with similar-sized municipalities in Saitama Prefecture

Compare with similar-sized municipalities in Saitama Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Shiraoka City52,404Age 18NoNo / No3
Hasuda City61,111Age 18NoNo / No2
Chichibu City57,212Age 18NoNo / No0
Hidaka City54,192Age 18NoNo / No0
Hanyu City53,696Age 18NoNo / No0
Satte City48,801Age 18NoNo / No0
Ina Town45,042Age 18NoNo / No0
Sugito Town43,562Age 18NoNo / No0
Miyoshi Town37,377Age 18NoNo / No1

Outpatient age limit, income limit and co-payment are the national survey values as of April 1, 2025.

All 63 municipalities in Saitama Prefecture

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Page updated: . You may quote this table. Please credit Machishirabe and the original survey.